| David Buckley Pmhnp Pllc | |
|
607 Boylston St Ste 191l Boston MA 02116-3604 | |
| (617) 302-7102 | |
| Not Available |
| Full Name | David Buckley Pmhnp Pllc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 607 Boylston St Ste 191l, Boston, Massachusetts |
| Authorized Official Name and Position | David Buckley (OWNER) |
| Authorized Official Contact | 6173027102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Buckley Pmhnp Pllc 607 Boylston St Ste 191l Boston MA 02116-3604 Ph: (617) 302-7102 | David Buckley Pmhnp Pllc 607 Boylston St Ste 191l Boston MA 02116-3604 Ph: (617) 302-7102 |
| NPI Number | 1023623352 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023623352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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